Sara Hawily, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2021097874 Issued in MI

Practice address

28533 Ford Rd
Garden City, MI 48135-2843

Phone

(313) 401-0066

NPI assigned

Sep 28, 2021

Last updated

Jan 19, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Promed Preferred Mi 3, PLLCGroup PAC ID 3971012832, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Holistic Home Healthcare, LLC Home health agency, Garden City, MI, CCN 239333

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Holistic Home Healthcare LLC

  dba Holistic Home Healthcare

  • Home Health Agency
  • Garden City, MI
  • NPI 1023586237

  5% Or Greater Direct Ownership Interest, Corporate Director, W-2 Managing Employee

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Promed Preferred Mi 3, PLLC

  dba DocDash Visiting Providers

  • Internal Medicine Physician
  • Garden City, MI
  • NPI 1467258095
  Medicare reassignment Care Compare group NPD
• Holistic Healing Home Health LLC

  dba Holistic Healing Health LLC

  • Clinical Medical Laboratory
  • Dearborn, MI
  • NPI 1841951738
  NPD Authorized official
• Holistic Home Healthcare LLC

  dba Holistic Home Healthcare

  • Home Health Agency
  • Garden City, MI
  • NPI 1023586237
  NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Holistic Home Healthcare LLC

  dba Holistic Home Healthcare

  • Home Health Agency
  • Garden City, MI
  • NPI 1023586237
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1396417473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28533 FORD RD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352843",
            "telephone_number": "313-401-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28533 FORD RD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352843",
            "telephone_number": "313-401-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWILY",
        "first_name": "SARA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-28",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "2021097874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Harrington, D.O.
• Mazen Abdul Hasan, DO
• Malek Hassan, PHARMD
• Gofran Hassoun
• Jessica Leigh Haveman, MD
• Randeep James Hayer
• Health Plus LLC
• Healthy Drugs LLC
• Jenna Denise Heard
• Heartfelt Home Care LLC

• Family Nurse Practitioner in Garden City, MI
• Providers in Garden City, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.